ASVMEB Order 18060 TAYLOR WILLIAMS, DVM

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BEFORE THE ARIZONA VETERINARY MEDICAL EXAMINING BOARD

IN THE MATTER OF: Case No.: 18-60
CONSENT AGREEMENT
FINDINGS OF FACT
CONCLUSIONS OF LAW
AND ORDER

TAYLOR WILLIAMS, DVM

Holder of License No. 5037
For the practice of Veterinary
Medicine in the State of Arizona,

ee ee ee ee es ee

Respondent.

In the interest of a prompt and judicious settlement of the above captioned
matter before the Arizona State Veterinary Medical Examining Board (“Board”)
and consistent with the public interest, statutory requirements and
responsibilities of the Board, and pursuant to A.R.S. §32-2201 ef. seq. and A.RS.
§ 41-1092.07 (F)(5), the undersigned party, Taylor Williams, DVM (“Respondent”),
holder of license No. 5037 for the practice of veterinary medicine in Arizona
and the Board enter into this Consent Agreement, Findings of Fact, Conclusion

of Law and Order (“Consent Agreement”) as final disposition of this matter.

CONSENT AGREEMENT
Respondent understands and agrees that:
1. The Board has jurisdiction over Respondent and the subject matter
pursuant to A.R.S. §32-2201, ef. seq.
2. Respondent has the right to consult with an attorney prior to entering
into this Consent Agreement. Respondent has a right to a public hearing

concerning this case. She further acknowledges that at such hearing she could

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present evidence and cross-examine witnesses. Respondent irrevocably waives
her right to such a hearing.

3. Respondent irrevocably waives any right to rehearing or review or to
any judicial review or any other appeal of these matters.

4. The Consent Agreement, once approved by the Board and signed by
the Respondent, shall constitute a public record, which may be disseminated
as a formal action of the Board. Sufficient evidence exists for the Board to make
the Findings of Fact and Conclusions of Law set forth in the Consent
Agreement.

5. Respondent acknowledges and understands that this Consent
Agreement will not become effective until the Board approves it and it is signed
by the Board's Executive Director, Respondent acknowledges and agrees that
Upon signing and returning this Consent Agreement to the Board's Executive
Director, Respondent may not revoke her acceptance of the ensent
Agreement or make any modifications to the document, regardless of whether
the Consent Agreement has been issued by the Executive Director.

6. If any part of the Consent Agreement is later declared void or
otherwise unenforceable, the remainder of the Order in its entirety shall remain
in force and effect.

7. Respondent acknowledges that any violation of this Consent
Agreement constitutes unprofessional conduct pursuant to A.R.S. § 32-2232 and
may result in disciplinary action pursuant to A.R.S. § 32-2234.

8. This Consent Agreement and Order is effective on the date signed by

the Board.

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DATED this gan day of July 2018.
Sunlo WO Mans

Taylor Williams, DVM

FINDINGS OF FACT

1. The Board is the duly constituted authority for the regulation and
control of the practice of veterinary medicine in the State of Arizona.

2. Respondent holds license No. 5037 for the practice of veterinary
medicine in the State of Arizona.

3. On Tuesday, January 9, 2018, Complainants took their dog, “Ruger,” a
16-week-old male Rottweiler, to Low Cost Spay/Neuter Clinic due to vomiting
and not eating. Mr. Williams went inside the clinic while Mrs, Williams stayed in
the vehicle with the dog; he advised the receptionist that the dog needed to
be tested for parvo based on his symptoms.

4. Technical staff member, Ms. Davis, advised Respondent's associate, Dr.
Zayas, that there was a possible parvo puppy that presented as a walk-in
appointment in the parking lot. Dr. Zayas asked Ms. Davis to speak with
Complainants and obtain a swab to run a parvo test prior to her examining the
puppy. According to Ms. Davis, she went out to the vehicle with Mr. Williams,
obtained the dog's vitals and estimated a weight; weight = 15 pounds,
temperature = 101.5 degrees, a heart rate = 125b0m and a respiration rate =
30rom. Ms. Davis then took a swab of the puppy's mouth and rectum for a

parvo test. She asked Complainants what they wanted jo do if the puppy was

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positive for parvo - they responded that they would medicate the dog at
home since Mrs. Williams was a stay-at-home mom. Ms. Davis stated that she
explained that hospitalizing the dog on IV fluids, although more costly, would
be the preferred treatment method.

5. Ms. Davis ran the parvo test and advised Dr. Zayas of the positive result.
She further relayed that she had discussed the basics of hospitalization versus
at-home treatment with Complaints and they preferred out-patient treatment
to save money. Dr. Zayas worked up a cost estimate with medications to be
sent home as well as an estimate for in-house hospitalization and asked Ms.

Davis to again advise that hospitalization was more beneficial than at-home

‘Iltreatment. Dr. Zayas explained that at that time, there were many pets being

discharged from surgeries that day and she was seeing appointments — but
Sianned on examining the puppy before finalizing the plan.

6. Ms. Davis spoke with Complainants who declined hospitalization and
opted for out-patient treatment. She told Dr. Zayas the elected treatment
option and Dr. Zayas had the puppy's medication filled while she finished
appointments. Dr. Zayas reported that the chart was then inadvertently sent to
the reception area instead of being held for her to take while she spoke with
Complainants; Mr. Williams was checked out with the following:

a, Omeprazole 10mg, 7 capsules; give one capsule once a day orally;

b, Cerenia 16mg, (no quantity); give one tablet once a day orally; and

c. Metronidazole 250mg, 28 tablet; give one tablet twice a day orally.

7, Mr. Williams came back into the premise and requested SQ fluids be
dispensed to administer to the dog. Dr. Zayas agreed and provided instructions

for a fluid bag, drip set and dosage to go home; Lactated Ringer’s Solution,

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5OmLs SQ twice a day. Dr. Zayas stated that she did not realize the dog was
discharged without her finalizing the chart. The fluids were dispensed with
Respondent's name on the prescription label, not Dr. Zayas. Respondent was at
the premise that day but was not seeing appointments at the time the puppy
arrived. Dr. Zayas stated that she did not become aware that Complainants left
with the puppy until after they were gone. She did not attempt to contact
them.

8. According to Complainants, Ms. Davis did not obtain the dog's vitals,
only a swab for the parvo test. They were advised that the test was positive and
were given two options for treatment — in house treatment or home care.
Complainants asked what the difference was between the two and were told
that it was the same concept, except they would not have to pay for boarding
if they treated the dog at home — the treatment was the same. Mrs. Williams
was a stay-at-home mom; therefore, they chose to treat the dog at home. Ms.
Davis went inside the premise and returned with medications for Complainants
to administer to the dog. The puppy was not examined; they did not speak to a
doctor and were not told a doctor needed to see the puppy prior to leaving.

9, Prior to leaving, Complainants realized they were, not given a bag of
fluids as a treatment for the dog. When they had called earlier that day they
were told that the home care kit included fluids. Mr. Williams went inside the
premise to request the bag of fluids - staff retrieved a bag of fluids that were
labeled for the puppy along with attachments; he was discharged again and
was told to bring the dog back if he got worse.

10. On Friday, January 12, 2018, the dog was not getting better,

therefore, Mr. Williams called Respondent's premise. The premise was closed

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and instead of waiting for a call-back from the on-call doctor, Complainants
took the dog to Kingman Animal Hospital. The dog was hospitalized for IV fluids,
medication, diagnostics and a blood transfusion. The dog passed away the
following day despite treatment.
CONCLUSIONS OF LAW

11. The Findings of Fact constitute a violation of A.R.S. § 32-2274 as it
relates to A.R.S. § 32-2233 (A) (1) as it relates to A.R.S. § 32-2232 (12) as it relates
to A.A.C. R3-11-501 (1) for failure to provide professionally acceptable
procedures for allowing staff to exam and treat a parvo puppy.

ORDER

Based upon the foregoing Findings of Fact and Conclusions of Law, it is
ORDERED that Respondent, License No. 5037, be placed on PROBATION for a
period of six (6) months, subject to the following terms and conditions that shall
be completed within the Probationary period. These requirements include four
(4) hours of continuing education (CE) as detailed below:

1. Based upon the foregoing Findings of Fact dnd Conclusions of Law, IT
I$ ORDERED THAT Respondent shall provide written proof satisfactory to the
Board that she has completed four (4) hours of continuing education (CE) in
addition to the existing continuing education required to renew a veterinary
license. Respondent shall satisfy these four (4) hours by attending CE in the
area of leadership and practice management. Respondent shall submit written
verification of attendance to the Board for approval.

2, Respondent shall submit to the Board a written outline regarding how
she plans to satisfy the requirement in paragraph 1 for its approval within sixty

(60) days of the effective date of this Consent Agreement. All continuing

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education to be completed for this Consent Agreement shall be pre-approved
By the Board. The outline shall include CE course details including, name,
provider, date(s), hours of CE to be earned, and a brief course summary.

3. Respondent shall obey all federal, state and local laws/rules governing
the practice of veterinary medicine in this state.

4, Respondent shall bear all costs of complying with this Consent
Agreement.

5. This Consent Agreement is conclusive evidence of the matters
described and may be considered by the Board in determining an appropriate
sanction in the event a subsequent violation occurs. In the event Respondent
violates any term of this Consent Agreement, the Board may, after opportunity
for Informal Interview or Formal Hearing, take any other appropriate disciplinary
action authorized by law, including suspension or revocation of Respondent's

license.

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ISSUED THIS_20_ DAY OF Juba _, 2018.

FOR THE BOARD:
ARIZONA STATE VETERINARY MEDICAL EXAMINING BOARD

Jim Loughead, Chairperson

Victorip’Whitmore, Executive Director

Original of the foregoing filed
This 30% day ob 2018 with:

Arizona State Veterinary Medical Examining Board
1740 W, Adams St, Ste. 4600
Phoenix, Arizona 85007

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Copy of the foregoing mailed by Certified, return receipt mail

This 20° day of pg , 2018 to:

Taylor Williams, DVM
Address on file
Respondent

By:
Victoria Whitmore, Executive Director

18-60, Taylor Williams, DVM